2019 GUIDE OPEN ENROLLMENT - HEALTHCARE AND OTHER BENEFITS
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CHICAGO
BENEFITS OFFICE
HEALTHCARE AND OTHER BENEFITS
OPEN ENROLLMENT
GUIDE
2019
CITY OF CHICAGO
For non-represented employees, and for employees covered under the City’s collective
bargaining agreements with: The American Federation of State, County and Municipal
Employees Council 31, Coalition of Unionized Public Employees (Chicago Building Trades
Coalition); Illinois Nurses Association; Public Safety Employees Unit II; Police Captains Association,
Police Lieutenants Association, and Police Sergeants represented by the Policemen’s Benevolent
& Protective Association of Illinois (PB&PA); Supervising Police Communications Operators
represented by Teamsters Local 700; Aviation Security Sergeants represented by the Illinois Council
of Police; Public Health Nurse III’s and IV’s represented by Teamsters Local 743, and Uniformed
Firefighters and Paramedics represented by the Chicago Fire Fighters Union Local No. 2 and the
Shift Supervisors of Security Communications Center represented by Teamsters Local 700.TABLE OF CONTENTS
Letter from
from Labor
Labor Management
Management Cooperation
CoorperationCommittee
Committee.......................................................................................1,2
..............................................................................1,2
Welcome to Open
Welcome to AnnualEnrollment
Open Enrollment 2019 ........................................................................................................3
2017 .............................................................................................................................3
Check Your Benefit Coverage Sheet.....................................................................................................................4
Check Your Benefit Coverage Sheet..............................................................................................................................4
Instructions On How To Access www.cityofchicagobenefits Portal......................................................................5
Adding a Dependent......................................................................................................................................................5
Adding a Dependent.........................................................................................................................................6,7
New Benefits for 2017..............................................................................................................................................6 ,7,8
Enroll or Re-Enroll in a Flexible Spending Account (FSA).....................................................................................8
PPO Money Savings........................................................................................................................................................9
Special Reminders.................................................................................................................................................9
Medical PPO (Blue Choice Options)............................................................................................................................10
Health Care Contribution Rates (Union and Non-Union)....................................................................................10
PPO Pre-certification by Telligen..................................................................................................................................11
Health Care Contribution Rates (Crossing Guards)............................................................................................11
PPO
PPO Prescription Drug Program...................................................................................................................................12
Money Savings............................................................................................................................................12
HMO (Blue
Medical PPOAdvantage HMO)
(Blue Choice Benefits Summary.......................................................................................................13
Options)...................................................................................................................13
PPO
HMOPre-certification by Telligen........................................................................................................................14
Emergency Care..................................................................................................................................................14
PPO
HMOPrescription
PrescriptionDrug Program.........................................................................................................................15
Drugs...............................................................................................................................................15
HMO (Blue Advantage HMO) Benefits Summary...............................................................................................16
Dental PPO and Dental HMO Program.......................................................................................................................16
HMO Emergency Care........................................................................................................................................17
Vision Program...............................................................................................................................................................17
HMO Prescription Drugs.....................................................................................................................................18
Wellnes Program...........................................................................................................................................................18
Dental PPO and Dental HMO Program..............................................................................................................19
Life Insurance, Long Term Disability and Deferred Compensation..........................................................................19
Vision Program....................................................................................................................................................20
Flexible Spending Account..........................................................................................................................................20
Wellness Program................................................................................................................................................21
Health Care Contributions.......................................................................................................................................21,22
Life Insurance, Long Term Disability, Deferred Compensation and Voluntary Supplemental Insurance......22,23
Reminder
Reminder About
About Fraud.................................................................................................................................................23
Fraud.......................................................................................................................................24
Divorced Spouse’s
Benefit Fair Healthcare
Dates and Coverage....................................................................................................................23
Locations........................................................................................................................25
Blue Cross
Benefit FairBlue
DatesShield Online.............................................................................................................................26
and Locations.................................................................................................................................24
Contact ListOnline/Annual
Blue Cross for Benefit Service
HealthProviders. ....................................................................................................27,
Care Reminder/Charitable 28
Giving......................................................................25
Legal Notices......................................................................................................................................................29
Contact List for Benefit Service Providers...............................................................................................................26,27Chicago Labor Management
Cooperation Committee
October 2018
Dear Employees:
For the past 12 years, the City of Chicago and labor representatives, working together in the
Labor Management Cooperation Committee (LMCC), have been engaged to keep your employee
benefits package working for you. Below we have listed a few highlights from 2018:
recent report to the LMCC on the Chicago Lives Healthy Wellness Plan showed results since
1. A
the program began in 2012. Primarily, the Wellness Plan appears to have improved member
awareness. In addition, members showed behavioral and status improvements. For example,
the number of individuals deemed to be “high-risk” for developing cardiovascular disease
decreased by 17% over the six years of the program (from 2012 to 2018). Likewise, the number
of individuals at “elevated risk” for developing diabetes decreased by 8%.
art of the Wellness Plan involves special outreach, the Health Improvement Plan, or HIP, for
2. P
members who were identified by Telligen as being at-risk, based upon biometric screening.
This includes members with metabolic syndrome, who may have special risk for developing
type 2 diabetes and/or cardiovascular disease. Telligen reported that 97% of the HIP participants
displayed signs of metabolic syndrome in their first screening for the wellness program. But the
percentage of those same HIP participants with metabolic syndrome dropped to 54% in 2018—
in other words, 43% of the HIP participants improved their health status enough to no longer
have metabolic syndrome.
he LMCC received a $95,000 grant from the Federal Mediation and Conciliation Service.
3. T
With Blue Cross, Healthways and Telligen, the LMCC used the grant to study new ways of
communicating with members to increase engagement. The pilot outreach program is focusing
on telemedicine, preventive dental hygiene, hypertension and hyperlipidemia.
n additional, voluntary program for members with hypertension and hyperlipidemia started
4. A
in 2018. Members receive counseling related to nutrition, weight reduction and increased
physical activity.
ith Blue Cross, the LMCC continues its telemedicine program, also known as Virtual Visits,
5. W
through an entity called MDLive. Check out the ease of accessing Board-certified doctors right
from your own home. A quick call to MDLive can save time and trouble—the MDLive “doctor is
in” 24/7! Go to MDLive.com/bcbsil or call 1-888-676-4204 for more information.
Plan A effective 1/1/2019. This is a summary of benefits offered to City Employees (excluding Sworn Police Officers below the
rank of Sergeant and Seasonal Employees). The Plan Document and subsequent updates always supersede this summary.
16. B
est Doctors, the program for second opinions that started in 2017, reported continued success
in 2018. Best Doctors offers timely, highly respected second opinions. They also offer counseling
for chronic conditions, answers to treatment questions and can help you locate an in-network
specialist who is a “Best Doctor.” Members used this service for, among other things, to receive
information on treatment options for orthopedic complaints.
7. T
iered PPO plan: In-network PPO hospitals, doctors and other providers are in one of two tiers
in the OPT PPO plan. Tier I providers offer the most savings for both the City and members; Tier
II providers have higher co-payments and out of pocket expense for members. Members can
choose providers from either tier, and they can go back and forth between tiers during the year
at each provider visit. The tier approach has realized substantial savings in a number of areas for
both the plan and LMCC members.
8. E
mergency Room Use: On its website Blue Cross posts many alternatives to emergency rooms.
Members save for themselves and for everyone by using urgent care centers, retail clinics,
telemedicine (MDLive) and after-hour physicians.
We ask our members to take advantage of all the programs and information that we continue
to offer.
The LMCC thanks you for all your help in slowing down the growth of health benefit costs. We look
forward to working with you to continue to improve your health in 2019.
Sincerely,
The City of Chicago Labor Management Cooperation Committee
Plan A effective 1/1/2019. This is a summary of benefits offered to City Employees (excluding Sworn Police Officers below the
rank of Sergeant and Seasonal Employees). The Plan Document and subsequent updates always supersede this summary.
2WELCOME TO ANNUAL OPEN ENROLLMENT
October 17, 2018 through October 31, 2018
Open Enrollment Changes are Effective January 1, 2019
Open enrollment is the time of year when you can:
P Enroll in or cancel your medical, vision, or dental insurance
P Switch medical or dental plans
P Add dependents to your plan (for example a spouse, civil union or same sex domestic partner,
or children)
P Drop dependents from your plan
P Enroll or re-enroll in a healthcare and/or dependent care Flexible Spending Account (FSA)
P Buy optional life insurance or voluntary long term disability insurance
To make changes, go to the City of Chicago Benefits Services Center website:
www.cityofchicagobenefits.org
Open enrollment changes can also be made over the phone by calling:
Benefits Service Center 1-877-299-5111
Special hours during open enrollment: Monday through Friday 8:00 a.m. until 6:00 p.m.
Special hours Saturday, October 27, 2018 8:00 a.m. until 6:00 p.m.
Enrollment in a Flexible Spending Account (FSA) does not carry over from year to
year. You must re-enroll in an FSA if you want this benefit for 2019.
Enroll online at www.cityofchicagobenefits.org or call the Benefits Service Center
What Is New in 2019
ConnectYourCare is the City’s new vendor for healthcare and dependent care Flexible Spending
Accounts and transit benefits. Improvements include:
• One vendor replaces the two existing vendors - one stop shopping!
• You will have the option of a debit card for healthcare flexible spending account.
In the near future you will receive communications regarding the change to ConnectYourCare.
CVS Caremark is our new vendor for pharmacy benefits in the BCBS HMO, replacing Prime Therapeutics
for the HMO. In the near future you will receive communications regarding the change with instructions
that you or your doctor will need to follow to ensure no interruption in your prescriptions.
CVS Caremark continues to provide pharmacy benefits to PPO enrollees.
Plan A effective 1/1/2019. This is a summary of benefits offered to City Employees (excluding Sworn Police Officers below the
rank of Sergeant and Seasonal Employees). The Plan Document and subsequent updates always supersede this summary.
3CHECK YOUR BENEFIT COVERAGE SHEET
Your personalized Benefits Coverage Sheet is included with this Guide. The medical, dental and vision
enrollment listed on this Coverage Sheet will remain the same for 2019 unless you make changes during
the open enrollment period which runs October 17, 2018 through October 31, 2018. You must re-enroll in
healthcare and dependent care Flexible Spending Account(s) to participate in 2019.
Dependent children who reach the age of 26 are automatically terminated from the City’s health
plan on the last day of the month of his/her birthday. However, if you have a disabled child reaching the
age of 26, he/she may be eligible to continue dependent coverage. Contact the Benefits Service Center
at least three months before your child’s 26th birthday to apply for continued coverage for a disabled
dependent child.
Check the personalized Benefits Coverage Sheet to make sure the information is correct for you and your
dependents. Call the Benefits Service Center to update any of this information:
• Name and birthdate.
• Social Security number if marked as “N”. If any Social Security number is marked “N”, you must bring
the original Social Security Card to the Chicago Benefits Office to update your dependent’s record.
Federal law requires Social Security numbers for everyone enrolled in the City’s health plans.
IF YOUR HOME ADDRESS CHANGES
Contact your Department’s Human Resources Representative to update your address on file with the City.
ENROLLMENT CHANGES DURING THE YEAR
Benefit enrollment changes are allowed throughout the year only if you have a life change event such as
marriage, divorce, birth or adoption of a child or loss of coverage through your spouse. Call the Benefits
Service Center within 30 days of the life change event. If you try to make these changes as an open
enrollment change, the coverage will not go into effect until January 1, 2019. You must provide documents
to prove the life change event within 60 days of the event. Call the Benefits Service Center for more
information.
Please note: Life change events are effective on the event date but open enrollment changes are effective
January 1, 2019. When you call to make a life change event during the open enrollment period, you need
to make sure that you explain that you are calling about a life change event and ask for the benefits to
be effective on the event date.
Plan A effective 1/1/2019. This is a summary of benefits offered to City Employees (excluding Sworn Police Officers below the
rank of Sergeant and Seasonal Employees). The Plan Document and subsequent updates always supersede this summary.
4INSTRUCTIONS ON HOW TO ACCESS
www.cityofchicagobenefits PORTAL
Step 1: Employee ID Number
In order to create an online account, you will need your eight digit employee ID number.
Where to find your employee ID number?
Look on the upper left of your paystub where it says PAYEE/EMPLOYEE NUMBER. That’s it.
This is not your Kronos number, the number you use for City computer access, or your payroll number.
Step 2: Add Zeroes
For online open enrollment, your employee ID number needs to be eight digits long. Simply add zeroes at the
front to make it eight numbers. Examples: 5432 becomes 00005432 and 1234567 becomes 01234567.
Please keep this number for future use.
Step 3: Create Online Account
If you plan to enroll online, go to: www.cityofchicagobenefits.org to create your open enrollment username and
password to make sure you can get into the system. If you already have an online account, you can test it to
ensure it works.
If you’ve forgotten your username, click “Forgot Your User Name” and enter your eight digit employee
ID number. Follow the prompts to get your new username. If you’ve forgotten your password, click
“Forgot Your Password” then enter your username and follow the prompts. If you’ve forgotten both, get
your username first. If you’ve never used the system, click “First Time Logging In” and follow the prompts.
Step 4: Enrollment
• Select benefits to enroll
• Choose coverage: Single, Employee + One, Family
• Enroll or re-enroll in the healthcare and dependent Flexible Spending Account (FSA) for 2019
Once you have made your enrollment selections ensure you click “submit” on the final screen.
Step 5: Write it Down
Keep your username and password; you need them to use the online open enrollment system in the future.
Plan A effective 1/1/2019. This is a summary of benefits offered to City Employees (excluding Sworn Police Officers below the
rank of Sergeant and Seasonal Employees). The Plan Document and subsequent updates always supersede this summary.
5ADDING A DEPENDENT DURING OPEN ENROLLMENT?
STEP ONE – Enroll your dependents. Enroll your spouse, civil union partner, same sex domestic
partner, and children during the open enrollment period online or by phone.
STEP TWO – Provide original documents to prove they are your legal dependents.
Submit your dependents documents as soon as possible. Your dependents will not have medical,
vision or dental coverage, effective January 1, 2019 if you fail to submit the required documentation
by December 6, 2018.
If you are adding dependents, you must submit the required documents for coverage to begin.
Deadline: If you submit your documents by close of business Thursday, December 6, 2018 coverage
will be reflected on January 1, 2019. For example, if your dependents seek medical care on January
1, 2019, your healthcare service provider will be able to verify coverage online. Please submit your
documents to the Chicago Benefits Office by this deadline to properly reflect coverage by the January
1st effective date. We encourage you to submit your documents right away to avoid the last
minute rush.
Grace Period. If you fail to submit your documents by Thursday, December 6, 2018, you may submit
documents through Thursday, January 31, 2019. Your failure to timely submit documents may result in
delayed coverage.
If you fail to submit documentation by the end of the grace period on January 31, 2019, you will be
required to wait until the next open enrollment period to enroll your dependents.
Bring certified documents and your dependent’s social security card to:
Chicago Benefits Office
333 South State Street/Room 400
Chicago, IL 60604-3978
Office hours are Monday through Friday 8:30 a.m. – 4:30 p.m.
Your original certified documents will be copied and returned to you.
Documents required are:
Spouse – certified marriage certificate and spouse’s social security card
Child – certified birth certificate and child’s social security card
Civil Union – certified certificate and partner’s social security card
Plan A effective 1/1/2019. This is a summary of benefits offered to City Employees (excluding Sworn Police Officers below the
rank of Sergeant and Seasonal Employees). The Plan Document and subsequent updates always supersede this summary.
6It should be noted that:
• If healthcare services were received by your dependents during the grace period, and your medical provider
submitted claims that were not paid because the required documents deadline of December 6, 2018
was missed, those claims will be reprocessed retroactive to January 1, 2019 if the required enrollment
documents are received by the Chicago Benefits Office by close of business January 31, 2019.
• Your medical provider may need to resubmit claims.
• Alternatively, if you paid out of pocket for healthcare services during the grace period, you may need to
submit paper claims.
To avoid inconvenience, and to ensure your dependent’s new coverage is reflected at the time of service,
submit your documents to the Chicago Benefits Office by Thursday, December 6, 2018.
IMPORTANT NOTICE: If an employee or dependent gives false information, or if the dependent is not a
legal dependent of the employee, the City will take action to collect any money paid to cover healthcare
expenses related to the fraud and/or report the fraud to the appropriate authority.
DO NOT WAIT UNTIL THE LAST MINUTE
Plan A effective 1/1/2019. This is a summary of benefits offered to City Employees (excluding Sworn Police Officers below the
rank of Sergeant and Seasonal Employees). The Plan Document and subsequent updates always supersede this summary.
7ENROLL OR RE-ENROLL IN A FLEXIBLE SPENDING ACCOUNT (FSA)
Flexible Spending Accounts (FSA) may save you money by reducing your income taxes. An FSA allows you to have money
deducted from your paycheck before your federal and Social Security taxes are calculated. Your FSA contributions
are automatically tracked in a special FSA account administered by ConnectYourCare. You can choose to have FSA
reimbursement checks mailed to you or deposited directly into your bank account. You will have the option for a debit
card for healthcare flexible spending account.
FSA contributions are spread over the year and taken out each paycheck. After you decide how much you want to put
aside in an FSA, call the Benefits Service Center to enroll (1-877-299-5111) or enroll at www.cityofchicagobenefits.org.
HEALTHCARE FSA
A healthcare FSA allows you to set aside pre-tax dollars for qualified health expenses that are not covered by medical,
dental or vision insurance. Qualified expenses include deductibles, co-pays for medical care and prescription medications,
vision services and dental care. The maximum FSA contribution in 2019 is $2,650.
Estimate how much you will likely spend in 2019. Consider what medical, vision and dental expenses you are fairly certain
you will have next year including deductibles, co-pays and co-insurance amounts, as well as any out-of-pocket expenses
for services not covered by the plan (eye laser surgery, dental implants etc). A complete list of healthcare expenses for
FSA reimbursement can be found at www.irs.gov/pub/irs-pdf/p502.pdf.
DEPENDENT CARE FSA
Use pre-tax dollars to pay for care for a dependent child, disabled spouse, elderly parent or other tax dependents.
Qualified expenses include a babysitter, day care, preschool tuition, before and after school care and day camps for
dependents under age 13. Care for other tax dependents who are mentally or physically incapable of caring for themselves
also qualifies for FSA reimbursement. The maximum contribution in a Dependent Care FSA in 2019 is $5,000.
USE IT OR LOSE IT
The IRS requires that any money left in your account at the end of the year will be forfeited. If you enroll in either FSA
for 2019, qualified expenses have to be incurred before March 15, 2020. You will have until March 31, 2020 to submit your
2019 expenses.
If your employment with the City ends before you have used all the money in your FSA, you have until the end of the
annual grace period to submit expenses for FSA reimbursement (for example, March 31, 2020 for expenses incurred
in 2019 If you plan to incur expenses after your employment with the City ends, you must elect to continue FSA
contributions under PHSA/COBRA.
DON’T FORGET TO RE-ENROLL!
You must re-enroll in the FSA each year during Open Enrollment
www.cityofchicagobenefits.org
1-877-299-5111
FSA enrollment cannot be done by ConnectYourCare
New FSA provider: You will continue to submit 2018 claims to PayFlex through March 31, 2019. Claims for
2019 will be processed by ConnectYourCare. More information coming soon.
Plan A effective 1/1/2019. This is a summary of benefits offered to City Employees (excluding Sworn Police Officers below the
rank of Sergeant and Seasonal Employees). The Plan Document and subsequent updates always supersede this summary.
8SPECIAL REMINDERS
PPO-Mandatory Second Opinion Program for Surgeries
A Second Opinion is needed before obtaining some surgeries. You must call Telligen as soon as your doctor
recommends surgery in any of the following areas:
• Knee; shoulder; hip; neck; and back
• Gall bladder
• Uterine, Vagina, Cervix
• Weight loss (Gastric Bypass)
There is no charge for the second opinion, you will not be examined and no travel is required. However, you must
give permission for the second opinion provider, Best Doctors, to collect your medical records and test results.
Telligen will first review your proposed surgery for medical necessity and if required, Best Doctors will then
arrange for a specialist to review your doctor’s diagnosis and recommendations. You will receive a confidential,
written report of the second opinion to help you decide how to proceed with treatment. You make the final
decision on whether to have surgery; however, if you do not get the second opinion, you will pay for the full
cost of the surgical procedure. The second opinion requirement is waived if you are admitted to the hospital for
surgery from the emergency room.
Call Telligen at 1-800-373-3727 to begin the second opinion review and out-patient surgery pre-certification
process. If you fail to obtain the required pre-certification, or the second opinion, you will pay for the full cost of
the surgical procedure.
PPO Virtual Doctor’s Visits
PPO members can have a virtual “face-to-face” medical evaluation by a primary care physician using a phone,
tablet or computer with a front facing camera. Claims are submitted directly to Blue Cross Blue Shield and
you pay a $20 copay for the visit. If necessary, prescriptions are sent to a local pharmacy, Value Formulary and
prescription drug copays apply. You must have a valid credit card to be able to use this service. Call Blue Cross
Blue Shield at 1-800-772-6895 for more information.
VOLUNTARY CHARITABLE PAYROLL CONTRIBUTIONS PROGRAM
City employees have the opportunity to extend their generosity to thousands of individuals and families
through the Employee Voluntary Charitable Payroll Contributions Program. Choose up to ten agencies to
receive your contributions from a list of 29 approved Chicagoland area charitable organizations. If you already
participate in the program, you can make changes, discontinue deductions, add new charities or increase
your contributions at any time. For more information, speak to your payroll administrator or download the
Charitable Contribution Allocation form at: http://www.cityofchicago.org/city/en/depts/fin/provdrs/payroll.
html under supporting information, “Charitable Giving”.
ONLINE PAY SLIPS
Sign up for GreenSlips, the City online pay slips program to view direct deposit of your paycheck online. You
can also view and download your W2 tax return as soon as available.
Go to https://greenslips.cityofchicago.org/TransformContentCenter/ and use your employee number to set up
a secure account.
Plan A effective 1/1/2019. This is a summary of benefits offered to City Employees (excluding Sworn Police Officers below the
rank of Sergeant and Seasonal Employees). The Plan Document and subsequent updates always supersede this summary.
9HEALTH
HEALTH CARE
CARE CONTRIBUTION
CONTRIBUTION RATES RATES FOR
FOR 2019
2019
Union
HEALTH CARE and Non-Union
CONTRIBUTION Employees
RATES FOR 2019
Union and Non-Union Employees
(Contributions Union
taken asand Non-Union
payroll Employees
deductions; 24 pay periods each year)
(Contributions taken as payroll deductions; 24 pay periods each year)
(Contributions taken as payroll deductions; 24 pay periods each year)
DENTAL & VISION INSURANCE
DENTAL & VISION INSURANCE
DENTAL
PLAN & VISION INSURANCE
SINGLE EMPLOYEE+1 FAMILY
PLAN SINGLE EMPLOYEE+1 FAMILY
PLAN
DENTAL HMO
SINGLE
$0.20
EMPLOYEE+1
$1.08 FAMILY
$2.78
DENTAL HMO $0.20 $1.08 $2.78
DENTAL HMO $0.20 $1.08 $2.78
DENTAL PPO $0.51 $1.02 $2.05
DENTAL PPO $0.51 $1.02 $2.05
DENTAL PPO $0.51 $1.02 $2.05
VISION $0.15 $0.30 $0.61
VISION $0.15 $0.30 $0.61
VISION $0.15 $0.30 $0.61
MEDICAL PLAN (HMO & PPO)
MEDICAL PLAN (HMO & PPO)
MEDICAL
ANNUAL PLAN (HMO & PPO)SINGLE
SALARY EMPLOYEE+1 FAMILY
ANNUAL SALARY SINGLE EMPLOYEE+1 FAMILY
ANNUAL
Up to $30,000 SALARY SINGLE
$15.71 EMPLOYEE+1
$23.88 FAMILY
$27.65
Up to $30,000 $15.71 $23.88 $27.65
Up to $30,000
$30,001 and < $89,999 $15.71
1.2921% of payroll $23.88 of payroll
1.9854% $27.65 of payroll
2.4765%
$30,001 and < $89,999 1.2921% of payroll 1.9854% of payroll 2.4765% of payroll
÷ 24 ÷ 24 ÷ 24
$30,001 and < $89,999 ÷ 24
1.2921% of payroll ÷ 24
1.9854% of payroll ÷ 24
2.4765% of payroll
Union Employee ÷ 24 ÷ 24 ÷ 24
Union Employee $48.45 $74.45 $92.87
$90,000 and above $48.45 $74.45 $92.87
$90,000 and above
Union Employee
$90,000 and above $48.45 $74.45 $92.87
Non Union Employee
Non Union Employee $48.45 $74.45 $92.87
$90,000 to $119,999 $48.45 $74.45 $92.87
$90,000 to Employee
Non Union $119,999
$90,000 to Employee
$119,999 $48.45 $74.45 $92.87
Non Union 1.2921% of payroll 1.9854% of payroll 2.4765% of payroll
Non Unionand
Employee 1.2921% of payroll 1.9854% of payroll 2.4765% of payroll
$120,000 above ÷ 24 ÷ 24 ÷ 24
$120,000
Non Unionand above
Employee ÷ 24
1.2921% of payroll ÷ 24
1.9854% of payroll ÷ 24
2.4765% of payroll
$120,000 and above ÷ 24 ÷ 24 ÷ 24
MEDICAL PLAN (HMO & PPO)*
MEDICAL PLAN (HMO & PPO)*
MEDICAL
ANNUAL PLAN (HMO & PPO)*
SALARY SINGLE EMPLOYEE+1 FAMILY
ANNUAL SALARY SINGLE EMPLOYEE+1 FAMILY
ANNUAL
Up to $30,000 SALARY SINGLE
$15.71
EMPLOYEE+1
$23.88
FAMILY
$27.65
Up to $30,000 $15.71 $23.88 $27.65
Up to $30,000 $15.71 $23.88 $27.65
$30,000 to $114,999 2.2921% of payroll 2.9854% of payroll 3.4765% of payroll
$30,000 to $114,999 2.2921% of payroll 2.9854% of payroll 3.4765% of payroll
÷ 24 ÷ 24 ÷ 24
$30,000 to $114,999 ÷ 24
2.2921% of payroll ÷ 24
2.9854% of payroll ÷ 24
3.4765% of payroll
÷ 24 ÷ 24 ÷ 24
$115,000 and above $109.83 $143.05 $166.58
$115,000 and above $109.83 $143.05 $166.58
$115,000 and above $109.83 $143.05 $166.58
*For recently ratified collective bargaining agreements.
Plan A effective 1/1/2017. This is a summary of benefits offered to City Employees (excluding Sworn Police Officers below the rank of
Plan A effective
Plan A effective1/1/2017.
1/1/2019.This
Thisisisa asummary
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benefits offered
offered to City
to City Employees
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Sworn Police
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10
Sergeant and Seasonal Employees). The Plan Document and subsequent updates always supersede this summary. 21
21
21HEALTH CARE CONTRIBUTION RATES FOR 2019
CROSSING GUARDS
(Contributions taken as payroll deductions; 18 pay periods each year)
DENTAL & VISION INSURANCE
PLAN SINGLE EMPLOYEE+1 FAMILY
DENTAL HMO $0.27 $1.08 $2.78
DENTAL PPO $0.68 $1.36 $2.73
VISION $0.20 $0.40 $0.81
MEDICAL PLAN (HMO & PPO)
ANNUAL SALARY SINGLE EMPLOYEE+1 FAMILY
Up to $30,000 $20.95 $31.84 $36.87
$30,001 and < $89,999 1.2921% of payroll 1.9854% of payroll 2.4765% of payroll
÷18 ÷18 ÷18
$90,000 and above $64.61 $99.27 $123.83
Plan A effective 1/1/2017. This is a summary of benefits offered to City Employees (excluding Sworn Police Officers below the rank of
Plan A effective 1/1/2019. This is a summary of benefits offered to City Employees (excluding Sworn Police Officers below the
Sergeant and Seasonal Employees). The Plan Document and subsequent updates always supersede this summary.
rank of Sergeant and Seasonal Employees). The Plan Document and subsequent updates always supersede this summary.
22 11PPO MONEY SAVINGS Save by using doctors and hospitals in the PPO Tier 1 network: The PPO gives you freedom to choose from three different network tiers. You can select doctors and hospitals (providers) from Tier 1 for some of your care, and use Tier 2 or Tier 3 providers for other services. You pay the lowest deductible and coinsurance when you use providers in Tier 1. To find a Tier 1 provider, call 1-800-772-6895 or go to www.bcbsil.com/cityofchicago. Two ways to save on prescription medications: 1) Choose generic medications and pay the lowest copay. 2) Use mail order for long term “maintenance” medications. You will pay more if you don’t use mail order for long term medications after the 3rd fill. Just call 1-866-748-0028 and ask CVS Caremark to contact your doctor for a new prescription to be processed through mail order. Save on lab tests – use a free-standing lab: Get your lab tests paid in full by using a free-standing lab (such as a Quest lab) which is not affiliated with a hospital. Even if your doctor already has an arrangement with Quest, ask for a lab order for tests to be done at a Quest facility. Take this paperwork to the Quest lab and test results will be sent directly to your doctor. Call 1-866-697-8378 to find the location of a Quest lab near you, or go to www.Questdiagnostics.com. Save on scans – use a free-standing imaging center: Scans are covered in full if done at a free-standing imaging center. When your doctor orders an MRI, CT, or PET scan, call Telligen at 1-800-373-3727 to pre-certify the test and locate a free-standing imaging center near you. Pregnant? Earn a $100 incentive: Enroll in a free, confidential maternity management program designed to encourage a healthy baby by providing telephone support for moms-to-be. To qualify for the $100 incentive, call Telligen (1-800-373-3727) to enroll and complete at least eight doctors’ visits during the pregnancy. Plan A effective 1/1/2019. This is a summary of benefits offered to City Employees (excluding Sworn Police Officers below the rank of Sergeant and Seasonal Employees). The Plan Document and subsequent updates always supersede this summary. 12
BLUE CHOICE OPTIONS MEDICAL PPO-PLAN A
Blue Choice OPT Blue Cross PPO Out-of-Network
Tier 1 Tier 2 Tier 3
Annual Deductible Individual $300 $350 $1,500
Family $900 $1,050 $3,000
Out-of-Pocket Limit Individual $1,000 $1,500 $3,500
Family $2,000 $3,000 $7,000
PREVENTIVE CARE YOU PAY YOU PAY YOU PAY
Routine checkups & routine lab work for
$0 copay $0 copay No coverage out-of-network
adults & children; well-baby care; well-
No deductible No deductible for preventive care
women visits; mammograms; PSA;
colonoscopies, hearing screenings
OFFICE VISITS
Primary Care Physician, lab work,
$20 copay does not $25 copay does not 40% PPO allowed rate
x-rays, allergy shots,
apply to deductible apply to deductible after out-of-network deduct-
Mental health and substance abuse
counseling ible plus balance billed by
provider
Specialist Physician $30 copay does not $35 copay does not
And Chiropractic Care (visit limits) apply to deductible apply to deductible
Annual deductible must be paid YOU PAY YOU PAY YOU PAY
before Plan covers these services: After Tier 1 deductible After Tier 2 deductible After Tier 3 deductible
OUTPATIENT SERVICES*
Outpatient surgery MRI, PET 10% 25% 40% PPO allowed rate
& CT scan* plus balance
HOSPITAL SERVICES*
Hospital stay* including inpatient 10% 25% 40% PPO allowed rate
surgery plus balance
EMERGENCY ROOM CARE
Emergency Room $150 co-pay waived if admitted
Emergency Room Treatment 10%
Ambulance emergency care 10% of PPO allowed rate
MENTAL HEALTH & SUBSTANCE ABUSE*
Inpatient hospitalization* 10% 25% 40% PPO allowed rate
Outpatient therapy* plus balance
ALTERNATIVES TO HOSPITAL CARE*
Skilled nursing facility* 10% 25% 40% PPO allowed rate
Home health care*, Hospice care* plus balance
MATERNITY SERVICES
Maternity management program No charge plus $100 cash incentive
Pre and post natal doctor visits $20 copay (first visit) $25 copay (first visit) 40% PPO allowed rate
Delivery and hospital stay* 10% 25% plus balance
OUTPATIENT REHAB*
Physical therapy* 10% 25% 40% PPO allowed rate
Occupational and speech therapy* $20 copay $20 copay plus balance
OTHER SERVICES
DME*: Oral Surgery; 10% 25% 40% PPO allowed rate
Ambulance transport between hospitals* plus balance
*Care must be pre-certified by calling Telligen at 1-800-373-3727. See the next page.
Plan AA effective
Plan effective1/1/2017.
1/1/2019.This
Thisisisa asummary
summary
of of benefits
benefits offered
offered to City
to City Employees
Employees (excluding
(excluding Sworn
Sworn Police
Police Officers
Officers belowbelow theof
the rank
rank of Sergeant
Sergeant and Seasonal
and Seasonal Employees).
Employees). The PlanThe Plan Document
Document and subsequent
and subsequent updates
updates always always supersede
supersede this summary.
this summary.
10 13CERTAIN PPO SERVICES NEED TO BE PRE-CERTIFIED
Telligen, the PPO medical advisor, needs to pre-certify the services listed below. There is a $1,000 penalty if Telligen is not contacted
in a timely fashion in the event of a hospitalization. This $1,000 penalty does not go towards the deductible or get counted in the
out-of-pocket maximum. Telligen’s phone number is 1-800-373-3727. This number is also on the back of the PPO ID card.
When To Call Telligen at 1-800-373-3727
HOSPITAL ($1,000 penalty if Telligen is not called)
Any inpatient stay in the hospital for medical, surgical, Call before elective admission or within two business
maternity, mental health or substance abuse care. days of an emergency admission.
Hospital outpatient treatment for mental health and substance Call before the treatment begins.
abuse
Plan pays nothing for the services listed below unless Telligen certifies
AMBULANCE
When ambulance is used for transfer between hospitals or to Call before the transfer is arranged.
hospital in a non-emergency situation
SURGERY
Organ transplant surgery
Bariatric surgery } Must be done at a
Blue Distinction Center Call before surgery is scheduled.
Gender reassignment surgery
Inpatient and out-patient surgery for Second Opinion review required.
hips; back; neck; gall bladder; uterine, bariatric Call before surgery is scheduled to begin the man-
datory second opinion process. Plan pays nothing if
Outpatient surgery for knees second opinion or pre-certification not obtained.
MEDICAL EQUIPMENT
Call before equipment is ordered if more than $500 for
DME (durable medical equipment) each item.
OUTPATIENT THERAPY
Mental health & substance abuse outpatient therapy/ Call after a combined total of 7 sessions from one or
counseling more providers. Call each year if care is on-going.
Occupational and speech therapy Call after the 10th session each calendar year from one
or more providers. Call each year if care is on-going.
Physical therapy Call after the 7th visit. Call each year if care is ongoing.
DIAGNOSTIC TESTS
Call before test is done. Covered 100% if pre-certified
MRI, PET & CT scans and done at a free standing facility. Deductibles and
co-insurance amounts apply if pre-certified and done
at a hospital facility or billed by a hospital.
OTHER SERVICES
Home health care Call before services start.
Skilled nursing facility Call before being admitted.
Sleep Study, Hospice, Infertility treatment, Non-surgical Call before services start.
transplants, Other gender reassignment services
Plan A
Plan A effective
effective 1/1/2017.
1/1/2019.This
Thisisisa asummary
summary of of
benefits offered
benefits to City
offered Employees
to City (excluding
Employees Sworn
(excluding Police
Sworn Officers
Police below
Officers the rank
below theof
rank of Sergeant
Sergeant and Seasonal
and Seasonal Employees).
Employees). The PlanThe Plan Document
Document and subsequent
and subsequent updates
updates always always supersede
supersede this summary.
this summary.
14 11PPO PRESCRIPTION DRUG PROGRAM
PPO PRESCRIPTION DRUG
Administered by CVS PROGRAM
Caremark
Administered by CVS Caremark
PPO PRESCRIPTION MEDICATIONS YOU PAY
PPO PRESCRIPTION MEDICATIONS YOU PAY
RETAIL - Short term medications Generic $10 copay
If purchased
RETAIL at aterm
- Short participating retail pharmacy 34 day supply
medications Preferred$10
Generic copay brand name $30 copay
formulary
or 100 units whichever is less.
If purchased at a participating retail pharmacy 34 day supply Non-preferred
Preferred brandbrand
formulary $45 copay
namename $30 copay
or 100 units whichever is less. Non-preferred brand name $45 copay
RETAIL - Maintenance or long term medications Generic $20 copay
The 4th -fillMaintenance
RETAIL and any additional
or longrefills
term medications Preferred$20
Generic copay brand name $60 copay
formulary
34 day
The 4thsupply
fill andorany
100additional
units, whichever
refills is less. Non-preferred
Preferred brandbrand
formulary $90 copay
namename $60 copay
34 day supply or 100 units, whichever is less. Non-preferred brand name $90 copay
MAIL ORDER - Long term medications for chronic Generic $20 copay
conditions
MAIL ORDER - Long term medications for chronic Preferred$20
Generic copay brand name $60 copay
formulary
conditions Preferred formulary brand name $60 copay
90 day supply
90 day supply
To get medications through the mail, send your doctor’s
prescriptions to:
To get medications through the mail, send your doctor’s
prescriptions to:
CVS Caremark
P.O.
CVS Box 94467
Caremark
Palatine, IL 60094-4467
P.O. Box 94467
Palatine, IL 60094-4467
Call Caremark or visit its website for more information about
mail order.
Call Caremark or visit its website for more information about
mail order.
Generic birth control $0 copay
Smoking Cessation
Generic birth medications
control $0 copay
Smoking Cessation medications
*$35 per household
Annual Rx Deductible
*$35 per household
Annual Rx Deductible
VALUE FORMULARY
VALUE FORMULARY
Your plan has adopted the Value Formulary to encourage use of generics. Prescriptions not on the Value Formulary list will
be denied
Your coverage
plan has at the pharmacy
adopted and thetopharmacist
Value Formulary encouragewill
usethen ask your physician
of generics. to substitute
Prescriptions a Value
not on the ValueFormulary
Formularydrug.
list will
be denied coverage at the pharmacy and the pharmacist will then ask your physician to substitute a Value Formulary drug.
If your physician does not agree to change the prescription, your physician must request an exception from CVS
Caremark
If by submitting
your physician does notclinical
agree information
to change for
the prior authorization.
prescription, An approval
your physician mustorrequest
a denial an will be faxed
exception fromto your
CVS
Caremark by submitting clinical information for prior authorization. An approval or a denial will be faxed to prior
physician and mailed to your home address. Call CVS Caremark or visit the website for information about the your
authorization
physician andprocess
mailed and the list
to your of Value
home Formulary
address. Call drugs.
CVS Caremark or visit the website for information about the prior
authorization process and the list of Value Formulary drugs.
*$35 annual Rx deductible may vary based on collective bargaining agreement.
www.caremark.com
www.caremark.com
1-866-748-0028
1-866-748-0028
Plan A effective 1/1/2017. This is a summary of benefits offered to City Employees (excluding Sworn Police Officers below the rank of
Plan A effective 1/1/2019. This is a summary of benefits offered to City Employees (excluding Sworn Police Officers below the
Plan
rank Aofeffective
Sergeant
Sergeant 1/1/2017.
and Seasonal This is a summary
Employees).
and Seasonal The PlanofDocument
Employees). benefits offered
The to City Employees
and subsequent
Plan Document updates (excluding
and subsequent Sworn Police
always supersede
updates always Officers below the rank of
this summary.
supersede this summary.
Sergeant and Seasonal Employees). The Plan Document and subsequent updates always supersede this summary.
12 15
12BLUE ADVANTAGE HMO* – A Blue Cross HMO
If care is pre-approved by your HMO primary care physician (PCP)
YOU PAY
DOCTORS VISITS
Primary Care Physician $25 copay
Specialists $35 copay when approved by PCP
Pre-natal visits $25 copay first visit
HOSPITAL (all hospital services must be approved by PCP)
Inpatient admission $20 copay
Surgery (inpatient & outpatient) $20 copay
Maternity delivery $0 after $20 hospital copay
Care in the hospital for mother & baby
PREVENTIVE SERVICES
Routine checkups for adults & children; well- baby care; $0 copay
well-women visits; mammograms; DRE & PSA; colonoscopies,
hearing tests
EMERGENCY SERVICES (see next page for emergency coverage information)
Emergency room treatment – life threatening $150 copay (waived if admitted)
Ambulance – life threatening You pay $0
MENTAL HEALTH & SUBSTANCE ABUSE (must be pre-approved by PCP)
Outpatient therapy $25 copay
Inpatient care $20 copay each admission
OUTPATIENT REHAB THERAPY (must be pre-approved by PCP)
Physical, speech and occupational therapy $0 copay
Limit of 60 visits combined each calendar year
OTHER SERVICES (all other services must be pre-approved by PCP)
Skilled nursing facility $0 Limited to 120 days a year
Durable Medical Equipment (DME) $0
Hospice
Home health care
Ambulance transport between hospitals
*HMO enrollment is available at the first open enrollment following 18 months of full-time City employment.
www.bcbsil.com/cityofchicago
1-800-730-8504
Plan A effective 1/1/2017. This is a summary of benefits offered to City Employees (excluding Sworn Police Officers below the rank of
Plan A effective 1/1/2019. This is a summary of benefits offered to City Employees (excluding Sworn Police Officers below the
Sergeant and Seasonal Employees). The Plan Document and subsequent updates always supersede this summary.
rank of Sergeant and Seasonal Employees). The Plan Document and subsequent updates always supersede this summary.
16 13HMO EMERGENCY CARE
The Blue Advantage HMO covers life threatening medical emergencies. It also covers care for acute medical problems
when pre-approved by your primary care physician (PCP).
What is a medical emergency?
A life threatening medical emergency is the sudden and unexpected onset of a potentially dangerous situation which, if
not treated immediately, could jeopardize your health. Such conditions are also severe and sudden in onset.
EMERGENCY ROOM TREATMENT You pay $150 copay – waived if admitted
Go to the nearest emergency room in the event of a life If possible, contact your PCP before seeking
threatening emergency emergency care. (Your PCP is available 24 hours a day,
seven days a week.) In a life threatening emergency,
call 911 and contact your PCP within 48 hours
following emergency care.
AMBULANCE You pay $0
For life threatening medical emergencies
TREATMENT IN PCP OFFICE You pay $25 copay if care is given in your PCP’s office.
Call your PCP’s emergency number on the back of your
For acute medical problems which are not life threatening Blue Advantage HMO ID card. A doctor or nurse will
evaluate the problem and give instructions on where
to go for medical care.
URGENT MEDICAL CARE AWAY FROM HOME Call the toll-free emergency number on the back of
your Blue Advantage HMO ID card.
For treatment for unexpected illness and injury when travel-
ling outside the Chicagoland area contact your PCP. If you or a covered dependent is away from home for
more than 90 days, guest membership is provided at
affiliate HMOs. Copays maybe different.
*HMO enrollment is available at the first open enrollment following 18 months of full-time City employment.
www.bcbsil/cityofchicago
1-800-730-8504
Plan A effective 1/1/2017. This is a summary of benefits offered to City Employees (excluding Sworn Police Officers below the rank of
Plan A effective 1/1/2019. This is a summary of benefits offered to City Employees (excluding Sworn Police Officers below the
Sergeant and Seasonal Employees). The Plan Document and subsequent updates always supersede this summary.
rank of Sergeant and Seasonal Employees). The Plan Document and subsequent updates always supersede this summary.
14 17HMO PRESCRIPTION DRUG PROGRAM
HMO PRESCRIPTION DRUG PROGRAM
Administered by CVS Caremark
Administered by CVS Caremark
HMO PRESCRIPTION MEDICATIONS YOU PAY
HMO PRESCRIPTION MEDICATIONS YOU PAY
RETAIL - Short term medications Generic $10 copay
RETAIL - Short term medications Preferred brand
Generic $10 name $30 copay*
copay
If purchased at a participating retail pharmacy Non-preferred
Preferred brand namename
brand $45 copay*
$30 copay*
34 day supplyatora 100
If purchased units whichever
participating is less
retail pharmacy Non-preferred brand name $45 copay*
34 day supply or 100 units whichever is less
RETAIL - Maintenance or long term medications Generic $20 copay
RETAIL - Maintenance or long term medications Preferred$20
Generic copay
brand name $60 copay*
The 4th fill and any additional refills Non-preferred $90 copay*
Preferred brand namename
brand $60 copay*
34
Theday
4thsupply
fill andorany
100additional
units, whichever
refills is less. Non-preferred brand name $90 copay*
34 day supply or 100 units, whichever is less.
MAIL ORDER Generic $20 copay
MAIL ORDER Preferred brand
Generic $20 name $60 copay*
copay
Long term and maintenance medications for chronic Preferred brand name $60 copay*
conditions
Long term and maintenance medications for chronic
conditions
90 day supply
90 day supply
To order medications through the mail, send your doctor’s
prescription
To to:
order medications through the mail, send your doctor’s
prescription to:
CVS Caremark
P.O. Box 94467
CVS Caremark
Palatine,
P.O. Box IL 60094-4467
94467
Palatine, IL 60094-4467
Call Caremark or visit their website for more information
about mail order.
Call Caremark or visit their website for more information
about mail order.
Oral Contraceptives (generic or brand)* Generic $0 copay
Oral Contraceptives (generic or brand)* Preferred$0
Generic copay
brand name $30 copay*
Non-preferred
Preferred brandbrand
namename $45 copay*
$30 copay*
Non-preferred brand name $45 copay*
Smoking cessation medications Certain generic medications $0 copay
Smoking cessation medications Certain generic medications $0 copay
Annual Rx Deductible **$35 per household
Annual Rx Deductible **$35 per household
*If the member chooses brand when generic is available, member pays the cost difference between the brand and the
generic drug PLUS
*If the member the generic
chooses co-pay.
brand when generic is available, member pays the cost difference between the brand and the
**$35
genericannual
drugRx deductible
PLUS may vary
the generic based on collective bargaining agreement.
co-pay.
www.caremark.com
www.caremark.com
1-866-748-0028
1-866-748-0028
Plan A effective 1/1/2017. This is a summary of benefits offered to City Employees (excluding Sworn Police Officers below the rank of
Plan A effective 1/1/2019. This is a summary of benefits offered to City Employees (excluding Sworn Police Officers below the
Plan
rank Aofeffective
Sergeant
Sergeant 1/1/2017.
and Seasonal This is a summary
Employees).
and Seasonal The PlanofDocument
Employees). benefits offered
The to City Employees
and subsequent
Plan Document updates (excluding
and subsequent Sworn Police
always supersede
updates always Officers below the rank of
this summary.
supersede this summary.
Sergeant and Seasonal Employees).
18 The Plan Document and subsequent updates always supersede this summary.
15
15DENTAL PROGRAM
DENTAL PROGRAM
Administered by Blue Cross Blue Shield of Illinois (BCBS)
Administered by Blue Cross Blue Shield of Illinois
Enrollment in the dental plan is available after one calendar year of full-time employment. Separate contributions for
Enrollment in the dental plan is available after one calendar year of full-time employment. Separate contributions for
dental coverage will be taken as payroll deductions. No action is needed if you want to continue your same dental
dental coverage
coverage in 2019.will be taken as payroll deductions.
IfIfyou
youwant
wantto
toadd
addorordrop
dropdental
dentalcoverage
coverageor
orchange
change dental
dental plans
plans for
for 2019,
2019, visit
visit www.cityofchicagobenefits.org
www.cityofchicagobenefits.org or
or call
call
the Benefits Service Center 1-877-299-5111 during open enrollment.
the Benefits Service Center 1-877-299-5111 during open enrollment.
BLUE CARE DENTAL PPO & HMO BENEFITS
PPO In-Network PPO Out-of-Network HMO In-Network*
YOU PAY YOU PAY YOU PAY
Preventive $10 copay 20% of PPO allowable $10 copay for each
(Two visits each year) amount plus balance of preventative visit
Oral exams No deductible for billed charges
preventive services No deductible in the HMO
Cleanings
No deductible for pre-
X-Rays ventative servicesventive
YOU PAY YOU PAY YOU PAY
Annual deductible
(amount each member pays first before
plan pays benefits) $100 $200 No deductible
Annual limit PLAN PAYS UP TO PLAN PAYS UP TO
(maximum amount a member receives
in dental coverage each year after $1,500 $1,500 No annual limit
deductible has been paid)
YOU PAY YOU PAY YOU PAY
Restorative 20% 50% of PPO allowed Copays of various amounts
Endodontics 20% amount plus balance of (for information about co-pay
billed charges amounts visit www.bcbsil.
Periodontics Surgery 20%
com/cityofchicago or call
Oral Surgery 40% 1-855- 557-5487)
Crowns 40% Plan pays 100% after co-pay
Orthodontics Not covered Not covered Covered for children of sworn
police and uniformed firefighters
up to age 25 with $1,800 copay.
Coverage limited to age 19 for all
others with $1,800 copay. Not
covered for employee or spouse
*There is no coverage out-of-network in the Dental HMO. You must use dentists who participate in the Dental HMO.
For up-to-date information about HMO dentists visit the dental program website or call for more information.
www.bcbsil.com/cityofchicago
1-855-557-5487
Plan AA effective
Plan effective1/1/2017.
1/1/2019.This
Thisisisa asummary
summary
of of benefits
benefits offered
offered to City
to City Employees
Employees (excluding
(excluding Sworn
Sworn Police
Police Officers
Officers belowbelow theof
the rank
rank of Sergeant
Sergeant and Seasonal
and Seasonal Employees).
Employees). The PlanThe Plan Document
Document and subsequent
and subsequent updates
updates always always supersede
supersede this summary.
this summary.
19
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